Kellen Cannon
NPI 1447920699ActiveIndividual· Physical Therapist· Edgewater, MD
Physical Therapist with Ati Holdings, LLC and 1 other group, practicing in Edgewater, Maryland. Medicare paid $32,042 for services to 50 patients in 2024.
Overview
| NPI | 1447920699 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Sep 19, 2021 |
| Last updated in NPPES | Sep 22, 2025 |
| Certified by provider | Sep 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | MD |
| Physical Medicine & Rehabilitation | 208100000X | 2305214662 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MA); Practitioner - Physical Therapist in Private Practice (MD); Practitioner - Physical Therapist in Private Practice (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 50 |
|---|---|
| Services billed | 1,654 across 9 procedure codes |
| Paid by Medicare | $32,042 |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Ati Holdings, LLCJenkintown, PA · 443 clinicians
- Performance Rehabilitation of Western New England LLCBoston, MA · 205 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 39 physical therapists in Edgewater · All physical therapists in Maryland